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NPI #1659942183 in Elgin, Illinois

Provider Information

NPI Number
1659942183
Entity Type
Organization
Organization Name
-
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jul 6, 2021
Last Updated
Jul 6, 2021

Practice Location

Address
2972 SHAMROCK CIR
City
Elgin
ZIP Code
60124-4354
Phone
(224) 465-1479

Authorized Official

Name
RICHARD W EADEN, MPT
Title
OWNER
Phone
(224) 465-1479

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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